Donation Form Texas General Land Office

Texas State Veterans Home Texas Veterans Land Board Resident Benefit Donation Account / Personal Property Donation

December 2017

This is a donation to the:

As provided by the Natural Resources Code, Sec. 164.005, the Commissioner of the Texas General Land Office, as the executive of the state agency responsible for the operation of Texas State Veteran Homes (TSVH), may accept gifts to be used for welfare and for the support, acquisition, construction, operation, enlargement, improvement, furnishing, or equipping of the State Veterans Homes. Donations may be made in the form of U.S. currency, marketablesecurities, real property, or personal property. Donations made to the Texas Veterans Land Board (VLB) for public purposes are tax deductible pursuant to Internal Revenue Code 170(c)(1). The tax identification number for the VLB is 74-2463347.

Donor gifts the following (check one):

Donations are purely voluntary and donors should have no expectation of compensation. By making this donation, all rights, title, and interest in the donated monies or property is granted to the Texas Veterans Land Board.

This donation is to be used for the purpose of:

Donation is from a:

Comment: _________________________________________________________________________________________

On-Site Representative Signature: Date:

NOTE: The below signatures are only required for donations that need immediate approval and are an exception to the monthly approval process.

Director Signature: Date:

OGC Attorney Signature: Date:

General Counsel Signature: Date:

Chief Clerk Signature: Date:

Description:

Ussery-Roan TSVH (AMARILLO)

Ambrosio Guillen TSVH (EL PASO)

William R. Courtney TSVH (TEMPLE)

Lamun-Lusk-Sanchez TSVH (BIG SPRING)

Frank M. Tejeda TSVH (FLORESVILLE)

Watkins-Logan TSVH (TYLER)

Clyde W. Cosper TSVH (BONHAM)

Richard A. Anderson TSVH (HOUSTON)

Alfredo Gonzalez TSVH (MCALLEN)

Monetary donation in the amount of: $

Personal property/goods. Approx. value: $

Welfare, Recreation, Social Events, Patriotic Materials, Memorials, and/or Monuments

General Operations

Other:

Private individual. Name and address:

Company. Name, address, and Tax ID number (if known):

Non-Profit. Name and address: